site specific health and safety plan components developed

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SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed for: Buckeye Partners, L.P. Date: NA Project #: NA Location: Des Moines Terminal Latitude/Longitude: 41.602465 -93.733881 City: Des Moines State: Iowa Job Description / Scope of Work: Purpose: Inject 500 gallons of water in order to phase separate out the ethanol that is in the Transmix Scope of Work Step 1: Create a MOC to implement the Des Moines Trans Mix Separation Procedure Step 2: Hot tap inlet line to install a TOR fitting near the jet nozzle (per applicable welding procedures) Step 3: Water will be brought in by a certified clean Vac Truck Step 5: Inject 500 gallons of water through the newly installed TOR Step 6: Connect Godwin pump to the drain dry suction piping Step 7: Start the system and reference the Des Moines Transmix Phase Separation Procedure from M&QC Step 8: Operations will need to have a certified clean frac tank on site to pump phase separated mixture into and store temporarily until the product can be transported Step 9: 2 quart samples will be obtained and sent to Parallel prior to shipping Additional Notes: Total of 4 asset team members present Appropriate hoses and fittings will be used and put in place Buckeye Operations Manager: Phone: Cell: Buckeye Safety Representative: Brad Stockstrom Phone: Cell: Buckeye Environmental Specialist: Pete Josendale Phone: 816-666-3112 Cell: 816-666-3112 Contractor Project Manager: Phone: Cell: Contractor Foreman Phone: Cell: Contractor Superintendent: Phone: Cell: Contractor Safety Representative: Phone: Cell:

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Page 1: SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed

SITE SPECIFIC Health and Safety PLAN COMPONENTS

Developed for: Buckeye Partners, L.P. Date: NA Project #: NA

Location: Des Moines Terminal Latitude/Longitude: 41.602465 -93.733881 City: Des Moines State: Iowa

Job Description / Scope of Work: Purpose: Inject 500 gallons of water in order to phase separate out the ethanol that is in the Transmix Scope of Work Step 1: Create a MOC to implement the Des Moines Trans Mix Separation Procedure Step 2: Hot tap inlet line to install a TOR fitting near the jet nozzle (per applicable welding procedures) Step 3: Water will be brought in by a certified clean Vac Truck Step 5: Inject 500 gallons of water through the newly installed TOR Step 6: Connect Godwin pump to the drain dry suction piping Step 7: Start the system and reference the Des Moines Transmix Phase Separation Procedure from M&QC Step 8: Operations will need to have a certified clean frac tank on site to pump phase separated mixture into and store temporarily until the product can be transported Step 9: 2 quart samples will be obtained and sent to Parallel prior to shipping Additional Notes: Total of 4 asset team members present Appropriate hoses and fittings will be used and put in place

Buckeye Operations Manager: Phone: Cell:

Buckeye Safety Representative: Brad Stockstrom Phone: Cell:

Buckeye Environmental Specialist: Pete Josendale Phone: 816-666-3112 Cell: 816-666-3112

Contractor Project Manager: Phone: Cell:

Contractor Foreman Phone: Cell:

Contractor Superintendent: Phone: Cell:

Contractor Safety Representative: Phone: Cell:

Page 2: SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed

Injury and Incident Management

Incident Reporting, Communication, and Notification Process: General Requirements All incidents must be reported within 24 hours to two working days depending on severity by filling out B-20 the Injury and Occupational Illness Report within the Buckeye Contractor Safety Manual. The incident shall then be recorded within the Software Program Cintellate within two working days. If any work related employee fatality or Contractor fatality occurs on or off the Company's premises, or any visitor fatality on the Company's premises, the Supervisor must immediately notify the Buckeyes US HSSE Manager via phone. The form should contain all factual information, as appropriate that is known by the person making the report at the time the report is made. Do not include any conclusions or speculations. Incident Types: • First Aids • Injuries/Illnesses – immediate report to regulators employee fatalities or hospitalization of 3 or more employees. • Fatalities • Vehicle Incidents • Property Damage • Near Misses • API Process Safety Events

First Aid/Minor Treatment Facility: UnityPoint Clinic Family Medicine at Lakeview Lakeview Medical Park, 6000 University Ave #101, West Des Moines, IA 50266 Located in: Lakeview Medical Park (515) 241-2600 Open now: 7:30AM–8PM

Phone: (515) 241-2600

Page 3: SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed

Emergency Medical Center: 1660 60th St, West Des Moines, IA 50266 Located in: Methodist West Hospital (515) 343-1200

Phone: (515) 343-1200

Incident Investigation Process: In the event of a serious incident, it may be appropriate to add District Leadership and or other West District Specialists to the investigation team. The investigation team will examine the accident/incident scene and then review all facts pertaining to the incident in a conference environment including the following:

1. The accident/incident investigation report shall be completed by West District HSSE. In the event of a serious incident, the responsibility for report preparation may be assigned to another investigation team member.

2. The employee with the illness or injury will be interviewed about the incident. 3. A thorough investigation will be completed by West District HSSE 4. An injury report will be filled out per Buckeye Policy 5. All injuries and/or illnesses (job related or personal) shall be recorded on Cintellate 6. A review of the incident facts, identified causes, and actions to prevent recurrence will be documented and

communicated to employees. This will occur at the weekly safety meeting on Monday mornings or the first workday of the week.

7. Any incident findings that may be of value to other locations will be circulated Lessons Learned in the form of a Safety Alerts/Safety Shorts and posted on the bulletin boards throughout the project.

8. All releases or exposure will be reported even though the incident may be considered minor. 9. OSHA Recordable Cases will be entered in the OSHA form 300 the log of work related injuries and illnesses.

Emergency Evacuation Plan (EEP) / Security

The following emergency escape measures shall be reviewed by the Buckeye’s representative to ensure that all personnel can quickly and safely exit the construction area in the event of an emergency:

1. All employees will be updated during the initial Pre-job safety meeting as to the guidelines of the EEP plan for the facility

in which they are working. All employees will have to go through Buckeye Safety Orientation prior to starting work.

2. Every person at the work site shall know where to report in case of an alarm and/or emergency. 3 one second blasts

from our air horn will mean evacuation to predetermined muster area.

Page 4: SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed

3. Every person at the work site shall be familiar with escape routes and his individual responsibilities, e.g., welding

personnel will shut down all welding equipment, etc. All escape routes shall be kept free of equipment and debris that

could preclude or impair their use.

4. If severe weather occurs then everyone should relocate to a Storm Shelter or safe area

Project Execution - Specific Programs / Plans

High Level Plan:

Check (Buckeye Specific Programs) Safety Programs Directly Involved in Project Scope

Cranes / Hoists Special Training, Licensing, or Certification Required?

Hazard Communication Special Training, Licensing, or Certification Required?

Lead Special Training, Licensing, or Certification Required?

Respiratory Special Training, Licensing, or Certification Required?

Electrical Safety Special Training, Licensing, or Certification Required?

HAZWOPER / HAZMAT Special Training, Licensing, or Certification Required?

Lifting / Rigging Special Training, Licensing, or Certification Required?

Tank Cleaning Special Training, Licensing, or Certification Required?

Excavation Special Training, Licensing, or Certification Required?

Hearing Special Training, Licensing, or Certification Required?

Lockout / Tagout Special Training, Licensing, or Certification Required?

Vehicle Safety Special Training, Licensing, or Certification Required?

Equipment Inspection Special Training, Licensing, or Certification Required?

Heat/Cold Stress Special Training, Licensing, or Certification Required?

Pipeline Repair Special Training, Licensing, or Certification Required?

New Employee Identification Special Training, Licensing, or Certification Required?

Fall Protection Special Training, Licensing, or Certification Required?

Hot Work Special Training, Licensing, or Certification Required?

Pipeline Locate Special Training, Licensing, or Certification Required?

Naturally Occurring Radioactive Material Special Training, Licensing, or Certification Required?

Hand / Power Tools Special Training, Licensing, or Certification Required?

H2S/Benzene Special Training, Licensing, or Certification Required?

Radiation Special Training, Licensing, or Certification Required?

Diving Special Training, Licensing, or Certification Required?

Page 5: SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed

Welding, Cutting Special Training, Licensing, or Certification Required?

Fire Prevention Special Training, Licensing, or Certification Required?

Personal Protective Equipment Special Training, Licensing, or Certification Required?

Line Breaking: grounding / bonding Special Training, Licensing, or Certification Required?

Other: Air Fed Blasting Hood Special Training, Licensing, or Certification Required?

Hazard Communications

Chemicals or Hazardous Materials brought on site: (SDS must be on Site) 1. Transmix

2. Ethanol

3. Diesel

4. Sargel Water Paste

5. WD-40 Aerosol Lubricant

6. Anti-Seize

Required Personal Protective Equipment (check for required use)

General Eye Prot. Respiratory Prot. Hearing Prot. Gloves Footwear Clothing

☒Hard Hat ☒ Safety Glasses

☐ SCBA/Air Line w/Escape

☒ Ear Plugs ☒ Leather ☒ Steel-toes ☒ FR Coveralls

☐Safety Harness

☐ Goggles ☐ Air Line ☐ Ear Muffs ☐ Rubber ☐ Rubber

☐PFD ☒ Face-shield ☐ Air Purifying (Full Mask)

☐ Combination ☐ Nitrile ☐ Hip-boots

☒ Tinted Lens ☐ __________ ☐ PVC ☐ Chemical Resistant

☐________ ☐__________

Any other special PPE:

Environmental Plan

Wastes Generated: We anticipate the following wastes will be generated during this job:

1. All trash and food wastes generated employees will be removed by employees. Waste Management Procedure: All wastes will be brought to a central collection area to be identified at the pre-job meeting where they will be segregated, placed in appropriate containers and secured for disposal. All Pipelines waste management policies will be adhered to be all personnel.

Permit Compliance: The following conditions shall apply concerning work permits:

1. Work permits shall be submitted to the Buckeyes Representative as required.

2. Work will not begin until all permitting/JSA’s are complete and agreed to by Buckeye Representative and signed by all site employees.

3. A Buckeye trained Person In Charge (PIC) shall be onsite and directly observe all hazardous work activities. Spill Containment / Response: Immediately upon discovery of a spill/rupture has occurred, or has a potential to occur, notify Buckeye personal. The individual reporting the incident should provide as much information as possible regarding the type, nature, and location of spill. All

Page 6: SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed

personal should evacuate the area until severity of spill/rupture is determined. The two types of spills/releases are minor and major. For Minor Spills-

1. All personal must have proper PPE for the type for product released 2. All personal will have atmospheric monitors with them at all times while working in area of release 3. If respiratory protection in required in area all personal wearing them will be medically cleared for duty and fix

tested by a certified fit tester 4. If excavating is required, all contaminated soil will be places in/on plastic

For Major Spills-

1. All personal will evacuate the area immediately to the muster area for a head count 2. Notify Buckeye personal of location, nature, and type of release 3. Wait for instructions from appropriate personal on how/when to respond

Subcontractor Management Plan

These subcontractors will follow the safety requirements of Buckeye and be vetted out using the following methods.

Review OSHA 300 LOGS

Review Safety and Health Program

Access ISNet World profile (If applicable)

Job Inspection / Audit Process

The site will be inspected daily by the competent people on site as well as the Inspector. Furthermore, Toolbox Talks will be conducted prior to work starting and will be documented on Form A within the Contractors Safety Manual. Safety Meeting Summary Form Listed below are the different types of audits and inspections that may be used during the job process:

Hazard Recognition Audit (Local HSSE or Asset Team to Complete)

3rd Party Auditors

Safety Observations ( Local Asset Team)

Vehicle Safety

Anyone using a motor vehicle for Buckeye business must obey all applicable motor vehicle regulations while on Company

property and while acting as an agent for Buckeye. Any vehicle incident that causes damage or results in employee injury then B-

21 Form A shall be filled out and submitted to local HSSE. Each contractor or employee who drives a vehicle on Company

property or business must possess a valid driver’s license from his/her state of residence.

Safety belts shall be worn by all occupants when in any motor vehicle used on Company property or for Company

business

Unless otherwise posted, the speed limit inside fenced facilities is 20 mph

The use of a mobile device will be prohibited while driving

Drivers should pull through a parking space so they can drive away without backing up. If this option is not available,

drivers must back the vehicle into the parking space upon arrival unless conditions prevent it.

Weather Precautions

Listed below are potential risks the weather my pose during the scope of this job:

Cold Weather- make sure to protect exposed areas of skin with protective clothing to help keep the body warm and to prevent

frost bite as well as other negative health effects

High Winds- should be taken into account during all aspects of work and should be evaluated prior to work starting. If the high

winds affect the job in a way that could potentially damage property or injure an employee then the job should be shut down until

the conditions have subsided

Page 7: SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed

Severe Weather- There is no shelter on site for severe weather, if the situation arises the foreman will instruct employees get into

the storm shelter onsite and leave the area avoiding the storm if safe to do so. If at any time an employee feels conditions are

becoming unsafe to work due to weather conditions he/she has the right to do so to stop all work and seek shelter

Lightning- at any time lighting is becoming an issue with the area should everyone shall be evacuated and seek shelter away from

the hazard

Lockout Tagout: Specific Program

To prevent personnel injury, equipment damage and “near misses” associated with the unexpected startup of equipment or a

release of hazardous/ stored energy. Hazardous energy includes electrical, mechanical, hydraulic, pneumatic, steam, chemical

reactions, petroleum hydrocarbons, thermal energy and toxic gases.

The Person in Charge of directing Company employees and contractor employees involved in work covered by this

policy is responsible for ensuring that this policy is followed.

The Manager responsible for facility operations or Designee shall be notified of all lockout activities.

No repair work shall be done on equipment unless the equipment is protected from unexpected energization by a lock

and/or tag, and a Hazardous Work Authorization Form has been completed.

A Facility Integrity List shall be completed to identify all energy isolating devices (valves, piping blinds, electrical circuits

and disconnect switches, etc.) placed in a locked and/or tagged out position or any drain or vent valve that is closed or

opened in the process of isolating the piping or equipment to be worked on. The Facility Integrity List shall be attached

to a Hazardous Work Authorization Form. Refer to the Hazardous Work procedure located in Safety Manual B-1 for

instructions on the correct completion of Hazardous Work Authorization forms, including the Facility Integrity List

Technicians, Operations employees, and Maintenance employees may be trained and qualified as Authorized employees

to lock out/tag out (shut down and install energy-isolating devices) equipment and ensure that the equipment being

controlled cannot be operated until the lockout device is removed.

All safety and working procedures regarding Lockout Tagout should be followed according to Buckeye Policy.

Hot Work and Fire Prevention : Specific Program

This specific program is designed to ensure that fires and explosions are not caused by open flames, cutting torches, welding, or

other spark producing equipment. Before beginning such work, a Hot Work Permit is required.

Prior to performing any work activities a JSA (Job Safety Analysis) and HWA (Hazardous Work Authorization), as outlined in Contractor Safety Manual Section D-01/Safety Manual Section B-01, shall be created and reviewed by all parties involved in work activities if it is suspected that LELs are present.

Hot work may not be performed in areas where the flammable vapor concentration exceeds ten percent (10%) of the Lower Flammable Limit (LFL) or Lower Explosive Limits (LEL).

Prior to beginning hot work, the Person-In-Charge must perform or verify that the hot work safety procedures have been completed.

Prior to beginning hot work, all combustible material should be moved to a safe distance or shielded from the proposed ignition source.

Prior to beginning any hot work, facility or the proper management shall be notified of scheduled work.

Prior to performing any Hot Work Taps or Stopples Hot Work, Contractor shall review the applicable procedures. Fire Watch Role and Responsibilities

Fire watch shall have fire watch training.

Assist Permit Issuer with work safe conditions, if required.

May assist in JSA/HWA, but must review prior to activities.

During the completion of hot work at least one person and preferably two shall be designated as a fire watch. These persons shall be competent in the use of the fire extinguishing equipment present.

The fire watch should be equipped with a minimum of two 20-pound dry chemical extinguishers. When a significant amount of class a combustible material is present, consideration should be given to having a source of water available.

The fire watch must be maintained for 30 minutes after the completion of spark-producing hot work.

Fire watch shall continuously monitor LEL levels within the affected area with a properly calibrated gas monitor.

Fire watch shall have proper method of informing (air horn/radio) control room and/or individuals in the work area in the event of a fire.

Page 8: SITE SPECIFIC Health and Safety PLAN COMPONENTS Developed

Fire watch shall stop all work activities if leaving the area or if assigned other duties.

If Hot Work is occurring in elevated areas, fire watch shall ensure work area is cordoned off and warning signs are posted on sublevels.

Fire watch shall consider the need for barrier on subflooring level when working over head with (fire blankets, metal plates, etc.) to prevent spark, slag, or hot metal from falling to lower subfloor level(s).

Based on work activities on sublevel flooring, multiple individuals may be needed to fire watch.

Fire watch is designated to only one work site or activity.

All safety and working procedures regarding Hot Work and Fire Prevention should be followed according to Buckeye

Policy.

Welding and Cutting : Specific Program

This policy addresses certain safety and health issues associated with welding, Personal Protective Equipment (PPE) and general

apparel for use by welders and welder helpers.

Light radiation developed during the manual-shielded metal arc process will contain ultraviolet and infrared rays

capable of causing severe inflammation to the eyes and exposed skin.

Approved wrap-around eye protection is required for all personnel in a radius of 25 feet outdoors (75 feet indoors,

unless shield screens are in use) of any welding activity. Each welding rig should be equipped with several pair of at

least number 3 shade lenses to be used by any personnel working within the vicinity of any welding activity

During all welding activities, welders or any person facing the arc, or observing the molten steel, shall use a full-face

shield with safety glass lens equipped with at least a Number 10 shade lens. Ensure eye protection devices fit properly,

are not damaged and do not have missing parts.

Welder helpers or any person not facing the arc shall use a safety glass lens equipped with at least a Number 3 shade

lens.

Lenses used for light radiation protection near welding operations do not provide true color recognition and therefore

are not to be used while driving a motor vehicle.

Any person required to weld, chip, grind, wire brush, hammer, or conduct any activity that may release particles shall

use approved ANSI Z-87 safety glasses in addition to a full face shield.

Gloves should be selected to protect against the exposures to be encountered and the dexterity required.

All safety and working procedures regarding welding should be followed according to Buckeye Policy.

Additional Notes

All Federal and Local regulations shall be followed in accordance to the law. All work being performed shall be conducted in

accordance to Buckeye Policy and no one shall deviate from Buckeye Policy in anyway. This Plan should be located on site and

should be readily available.